Are “Well Visits” Necessary?

sweetest sisters Are Well Visits Necessary? Maybe we should call and cancel,” I said to Tim last night as we were pulling our white comforter up to our chins at midnight.

You’re just telling me this now?” he said sleepily, “Their appointments are tomorrow.”

I reply, “I know, but I’m just not sure how I feel about it. Why are we taking our two perfectly healthy children to the doctor?

Our eyelids are getting heavy. I know I’ll be out in about 5 minutes flat. We pray and decide to go. After all, it might be a good idea to get them checked out one more time before we hit the road…zzzz.

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playing chase Are Well Visits Necessary? Are we the only ones who think it’s a little strange to take “well” kids to the doctor? Our culture – the medical establishment – the insurance industry – somebody has convinced us all that we need to take our children to the doctor once a year for “check-ups.”

As far as I can tell, check-ups are all pretty much the same. Height. Weight. Ears. Eyes. Blood Pressure. Vaccines. Done.

The doctor also shares the highly revered growth charts to parents, which often turn into bragging rights (“My son is 98th in height!” or “My daughter is 5% in weight!“).

For the record, I don’t really care where my girls are “on the chart.” Nor do I need to obsessively know exactly how much my baby weighs for the first year. (“How much does she weigh?” strangers ask at the grocery store. “I don’t know,” I say, which – to me – seems to be a perfectly good answer.)

Besides all of that, the very premise of “well visits” is contradictory. Hey – why don’t we bring our healthy kids to a confined space where people have been coughing, throwing up, running fevers, scratching rashes, etc? Hmmm.

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thoughtful white shirt blue jeans Are Well Visits Necessary? In the waiting room, we distract our girls from the books and toys. Our 18-month-old is content in my arms. Our 4-year-old is content watching YouTube clips of “Beauty & The Beast” on my phone. I see a colorful poster with the numbers 1-10 on it. It is sponsored by Similac. “Annie of PhD in Parenting wouldn’t approve of this,” I say to Tim.

The office is clean and new. The walls are splattered with artwork and brochure racks – and vaccine alerts (“5 confirmed cases of whooping cough in CA!” etc.). The doctor is attentive and spends a lot of time talking to us. He shows us the growth charts (In the CDC one, our youngest is falling off the charts. In the WHO chart, she’s just fine. Funny.). He wants her to be poked for anemia because of her low weight – just in case. We agree to the blood prick on her finger. (She’s not anemic. Surprise!). He recommends lots of vaccines – 4 or 5 each. We decline for our 4-year-old. We get 1 for our 18-month-old (that we had previously decided on).

It was a positive visit. Everyone was nice. The doctor didn’t pressure us about vaccines. Our 4-year-old was a bit enchanted by the stethoscope and blood pressure cuff.

Even so, we’re trying to decide when – if – we’ll go back again.

(Also. When we got back home, we put both girls in the bath right away.)

Do you take your children to “well visits” once a year? Why or why not?

vaccines [undecided]

Two kids (and hours of research) later, Tim and I are still undecided.

me and my firstborn age 3 vaccines [undecided]We’ve read “The Vaccine Book” (an excellent book, by the way). We’ve interviewed Dr. Sears on phone and by e-mail. We’ve scribbled down questions for our pediatrician. We’ve read blog posts and heard reasons. We’ve looked at what Dr. Tenpenny has to say and we’ve considered the stats from the CDC.

Sometimes we’ll hear someone tell a story about how their child had the XYZ vaccine and ended up with autism or seizures. And we’ll think, “Okay. That’s it. No more vaccines. Our kids never get sick. They are breastfeed. They’re not in daycare. We barely even give them Tylenol. Why would we inject some unknown chemical into their bodies?”

Then, we’ll hear someone tell a story about how their child DIDN’T get ABC vaccine and they ended up with Rotavirus and had to be hospitalized…or we’ll see a news story about an outbreak of measles. And we’ll think, “We see the merits of vaccines. They’ve been used for ages. They’re well-researched. Doctors and researchers wouldn’t knowingly lead us to harm our kids. Let’s do this (and I’ll cry in the corner).

sleeping baby long lashes bw vaccines [undecided]The worst part about all of this is that both camps use the most potent weapon when advocating their case – the potential that our child might be harmed. FEAR creeps in, grips our hearts, keeps us up at night, googling about vaccines side effects and the prevalence of diseases.

It’s a horrible feeling…being scared into making decisions. We don’t want it to be this way. We want to be able to wave our flag with confidence, knowing that we are making the right choice for our kids.

For now, we selectively vaccinate and we delay vaccinations. Most of all, we PRAY. We pray that our kids will be strong and healthy even if we make the “wrong” decision. We pray for peace.

Here is a letter that we’d really love to send to all pediatricians and to the CDC. [clearing throat].

Screen shot 2010 07 22 at 12.45.55 AM vaccines [undecided]

Do you vaccinate your children? Why or why not? What books, blogs, and/or research studies have been most helpful to you in your research?

Wordless Wednesday: vaccines

vaccines 7 months old Wordless Wednesday: vaccines

Yesterday and today, I spent a good deal of time wrestling over vaccine issues: researching, praying, and trying to find peace.

In the end, we ended up getting two [as evidenced above].

I’m still not sure how I feel about the whole thing.

Ask Dr. Sears: Vaccine Book Updates

bob Ask Dr. Sears: Vaccine Book UpdatesPlease welcome Dr. Bob Sears back to Metropolitan Mama.

Sears is a nationally known pediatrician, father of three, and author of The Vaccine Book: Making the Right Decision for Your Child. Sears has graciously offered to extend his expertise about vaccines through a bimonthly column where YOU ask the questions…and he answers them. See the bottom of this post for details about how you can submit a question.

Today’s question was submitted by…me! I just had a baby and we’re now trying to make the best decision for our daughter regarding vaccinations.  

QUESTION: ”I bought your book and love it! But I’m concerned because it was written in 2007 and I’m sure there have been a lot of changes since then. What do I need to know now that it’s 2009? What specific new “updates” should I keep in mind as I make vaccination decisions for my child?

ANSWER FROM DR. SEARS: ”Very little has changed since 2007 that isn’t discussed or predicted in the book.  Here are the only two issues that have come up that are worth mentioning:

  • The separate MMR vaccine components are no longer being made. Parents can only now get it as the full MMR. My blog provides details on this dilemma: Separate Measles, Mumps, and Rubella Vaccines No Longer Available? What Can Parents Do? {January 2009}. 
  • There is a HIB vaccine shortage until the end of 2009 because one manufacturer had to stop making their brand (PedVaxHIB) for several months. Until this supply is back up again, kids aren’t supposed to get the toddler booster dose of HIB.

Those are the only two changes in vaccines that aren’t part of the book.

41ipqxqihfl aa240  150x150 Ask Dr. Sears: Vaccine Book UpdatesFor more information, see The Vaccine Book: Making the Right Decision for Your Child or visit www.TheVaccineBook.com.

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If you have a question about vaccines for Dr. Sears, send an e-mail with “Ask Dr. Sears” in the subject line to stephanie@metropolitanmama.net.

Ask Dr. Sears: Splitting Up MMR Vaccine, What to Do When Vaccines Aren’t Available

bob Ask Dr. Sears: Splitting Up MMR Vaccine, What to Do When Vaccines Arent Available

Please welcome Dr. Bob Sears back to Metropolitan Mama.

Sears is a nationally known pediatrician, father of three, and author of The Vaccine Book: Making the Right Decision for Your Child. Sears has graciously offered to extend his expertise about vaccines through a bimonthly column where YOU ask the questions…and he answers them. See the bottom of this post for details about how you can submit a question.

If you want more information now, you should really just buy his book (read my review here). It’s comprehensive, objective, and the only one of its kind on the market.

Today’s question was sent in by Scott of Indiana.

QUESTION: We had split up the MMR for our son. After receiving everything but the mumps vaccine, our clinic discontinued offering them being split up. We were told they were not making enough of a profit that way. In searching to find a mumps vaccine we are unable to locate any. We are willing to pay out of pocket or whatever else it may take. We get the crazy look when we ask doctors about it, and are told that he will just need to receive the MMR now. We refuse to do this. Please Help!

ANSWER FROM DR. SEARS: “There is a shortage of the plain Mumps vaccine. No more will be available from the company until early 2009.  Some pharmacies that stock and ship single doses of the separate components of the MMR vaccine may still have some plain mumps in stock. Try Hopewell Pharmacy in New Jersey.

There are a variety of vaccine brand choices parents may prefer, and a doctor might now always carry a desired brand.  You can ask your doctor for a single dose prescription, take that to a pharmacy, and it’s possible the pharmacy may be able to obtain that dose for you. You take it back to your doctor’s office to get the injection done.”

41ipqxqihfl aa240  150x150 Ask Dr. Sears: Splitting Up MMR Vaccine, What to Do When Vaccines Arent AvailableFor more information, see The Vaccine Book: Making the Right Decision for Your Child, or visit www.TheVaccineBook.com.

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If you have a question about vaccines for Dr. Sears, send an e-mail with “Ask Dr. Sears” in the subject line to stephanie@metropolitanmama.net.

Ask Dr. Sears: Test to Determine Immunities to Diseases

bob Ask Dr. Sears: Test to Determine Immunities to DiseasesPlease welcome Dr. Bob Sears back to Metropolitan Mama.

Sears is a nationally known pediatrician, father of three, and author of The Vaccine Book: Making the Right Decision for Your Child. Sears has graciously offered to extend his expertise about vaccines through a bimonthly column where YOU ask the questions…and he answers them. See the bottom of this post for details about how you can submit a question.

If you want more information now, you should really just buy his book (read my review here). It’s comprehensive, objective, and the only one of its kind on the market.

Today’s question was sent in by Jen.

QUESTION: “I have a friend who says that there is a test that children can take to determine what immunities are already in their systems and, therefore, if particular vaccines are unnecessary. What test is it that kids can take and is this recommended?”

ANSWER FROM DR. SEARS: These blood tests are called “titers.” They can determine if a person has been exposed to a disease and has good immunity (as with chickenpox, for example). They can also measure how much immunity a person has gained after one or more doses of a vaccine.

Overall, titers aren’t really practical during infancy or toddlerhood for many vaccines for a variety of reasons (mainly because of the cost and the trouble of blood tests). But here are a few examples of when titers can be useful:

  1. If parents skip any vaccines in the early years, but wish to consider getting some vaccines at a later age, I recommend checking titers for measles, mumps, rubella, and Hep A around age 10. If these titers show immunity, you wouldn’t need the shot.
  2. If parents skip some shots, but state laws or other requirements mandate that they either get the shots or prove immunity to the disease, titers can be done to demonstrate the immunity.
  3. If a child had one dose of MMR or Chickenpox vaccine during infancy, but the parents are considering skipping (or delaying) the 5 year boosters, titers can be checked to see whether or not the child still has enough immunity from the first shot.

These are really the only situations where I would consider getting titer tests. One particular approach that I don’t recommend parents trying is checking titers after 1 or 2 doses of a 4-dose series of any particular shot. Some parents will do this (for example, check Pertussis and Tetanus immunity after 2 doses of the DTaP shot) to see if the rest of the shots in the series are needed. I don’t think this is practical. Most kids won’t show great immunity after just 2 doses anyway, and those that do would probably see their immunity wear off several months later anyway (which you wouldn’t even know unless you check ANOTHER titer) because they didn’t finish the series.

41ipqxqihfl aa240  150x150 Ask Dr. Sears: Test to Determine Immunities to DiseasesFor more information, see The Vaccine Book: Making the Right Decision for Your Child, or visit www.TheVaccineBook.com.

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If you have a question about vaccines for Dr. Sears, send an e-mail with “Ask Dr. Sears” in the subject line to stephanie@metropolitanmama.net.

Ask Dr. Sears: Vaccines and Autism

bob Ask Dr. Sears: Vaccines and Autism

Please welcome Dr. Bob Sears back to Metropolitan Mama.

Sears is a nationally known pediatrician, father of three, and author of The Vaccine Book: Making the Right Decision for Your Child. Sears has graciously offered to extend his expertise about vaccines through a monthly column where YOU ask the questions…and he answers them. See the bottom of this post for details about how you can submit a question.

If you want more information now, you should really just buy his book (read my review here). It’s comprehensive, objective, and the only one of its kind on the market.

Today’s question was sent in by Jen.

QUESTION: My question is about vaccines and autism.  I have a friend who swears that her daughter became autistic because of her vaccines. (Is that possible?!?) What are your thoughts on the vaccines and autism issue?

ANSWER FROM DR. SEARS: The reason that many families with autism believe that vaccines may play a role is that some seemingly normal and healthy toddlers regress into autism between 12 and 18 months. The problems appear to begin after the MMR vaccine (given at 12 or 15 months). The measles component of this vaccine has been shown by some researchers to cause an intestinal measles infection that they suspect may be a trigger for autism.

This theory has not been proven, and the research that suggests a possible connection has come under a lot of fire and has been discredited by most professionals. No one, however, has repeated this research in order to try to prove that kids with autism don’t have a measles intestinal infection. The problem is, even if we some day do discover measles is a problem in autism, we won’t actually know if the virus is actually a cause of autism or simply happens to be there.

Another theoretical connection between vaccines and autism may have been mercury. But now that mercury is out of all vaccines (as long as you know which brands of the flu shot to stay away from), this is no longer a concern for parents today.

The final possible (but unproven) connection may be an overload of the various chemicals all given together at 2 months, 4 months, and 6 months in the standard vaccine schedule. We just don’t know whether or not this could trigger autism. Researchers are currently working on ways to test every baby’s genetics and immune system at birth to screen out babies that may be susceptible to damage from chemical overload. We can then be more careful with such infants, both with vaccines and other aspects of daily life. This technology is years away, however.

41ipqxqihfl aa240  150x150 Ask Dr. Sears: Vaccines and AutismUntil we learn more, parents are faced with making a decision based on the information we have now. In The Vaccine Book, Dr. Bob Sears presents all the current research on these issues, and offers parents a variety of ways they can vaccinate their children while minimizing risks and side effects. For more information, and a preview of the book, visit www.TheVaccineBook.com

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If you have a question about vaccines for Dr. Sears, send an e-mail with “Ask Dr. Sears” in the subject line to stephanie@metropolitanmama.net.